Adnexal tumours in the menopausal period - analysis of diagnoses and histological verification from the database of the Department of Gynaecology and Menopausal Diseases in Polish Mother's Memorial Hospital, Research Institute in Lódz

The treatment of adnexal tumours in women in the menopausal period remains a challenge for every gynaecologist coping with operative procedures. The opinion that the diagnosis of adnexal tumour in women after menopause is an indication for operation (=high oncological risk) is still obligatory. However, it is proper to know that most (>80%) of the adnexal lesions being extirpated in menopausal women (which was also observed in this study) are non-neoplastic tumours or benign neoplasms. An important role in the diagnostic-therapeutic process is played by a properly performed transvaginal ultrasonography permitting one to choose the way and the extent of operative management - laparotomy, laparoscopy or fine-needle biopsy.